Evaluation of the Clinical Pathway for Laparoscopic Cholecystectomy and Simulation of Short-term Hospitalization.

Evaluation of the Clinical Pathway for Laparoscopic Cholecystectomy and Simulation of Short-term Hospitalization. Research Abstract Details 

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Evaluation of the Clinical Pathway for Laparoscopic Cholecystectomy and Simulation of Short-term Hospitalization. Abstract Text:

Ken Yanagi,Koji Sasajima,Masayuki Miyamoto,Seiji Suzuki,Tadashi Yokoyama,Hiroshi Maruyama,Takeshi Matsutani,Yasuo Arima,Eiji Uchida,Takashi Tajiri,Ken Yanagi,Koji Sasajima,Masayuki Miyamoto,Seiji Suzuki,Tadashi Yokoyama,Hiroshi Maruyama,Takeshi Matsutani,Yasuo Arima,Eiji Uchida,Takashi Tajiri,

The effectiveness of the clinical pathway for laparoscopic cholecystectomy was evaluated, and the efficiency of medical care was analyzed. The duration of hospitalization and the number of National Health Insurance (NHI) points for medical service fees were compared between 86 patients treated after introduction of the clinical pathway (pathway group) and 56 patients treated before introduction of the clinical pathway (pre-pathway group). In the pathway group, variance from the pathway occurred in 24 patients (27.9%) due to postponement of discharge in 7 patients, to earlier discharge in 5 patients, and to insertion of a bile duct catheter in 5 patients. Total and postoperative hospitalization times were significantly shorter in the pathway group than in the pre-pathway group (8.0 +/- 1.6 vs 13.7 +/- 9.0 days, p<0.0001, 5.4 +/- 1.1 vs 6.5 +/- 2.2 days, p<0.0001, respectively). In the pathway group, the total number of NHI points was lower and the number of points per day was higher. By simulation, the total number of NHI points for the 5-day pathway (discharge on postoperative day 3 or earlier) was significantly lower than that for the current 7-day pathway. Moreover, the weekly profit per bed with the 3-day pathway (discharge on postoperative day 1) was more than twice that with the current pathway. The results suggest that the clinical pathway for laparoscopic cholecystectomy is beneficial for patients and useful for the introduction of diagnosis procedure combination in our hospital.

Evaluation of the Clinical Pathway for Laparoscopic Cholecystectomy and Simulation of Short-term Hospitalization. Publishing Authors By Initials

K Yanagi,K Sasajima,M Miyamoto,S Suzuki,T Yokoyama,H Maruyama,T Matsutani,Y Arima,E Uchida,T Tajiri,K Yanagi,K Sasajima,M Miyamoto,S Suzuki,T Yokoyama,H Maruyama,T Matsutani,Y Arima,E Uchida,T Tajiri,

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Evaluation of the Clinical Pathway for Laparoscopic Cholecystectomy and Simulation of Short-term Hospitalization. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of Nippon Medical School = Nihon Ika Daiga

VOLUME: 74

Page Numbers: 409-13

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ISSN: 1345-4676

DAY: 17

MONTH: Dec

YEAR: 2007

Evaluation of the Clinical Pathway for Laparoscopic Cholecystectomy and Simulation of Short-term Hospitalization. Information

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LANGUAGE: eng

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AFFILIATION: Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School.

Country: Japan

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MEDLINETA: J Nippon Med Sch

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